Provider Demographics
NPI:1487136149
Name:WHITE, MEYBELIN URIETH
Entity type:Individual
Prefix:
First Name:MEYBELIN
Middle Name:URIETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 S HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-9337
Mailing Address - Country:US
Mailing Address - Phone:178-797-0028
Mailing Address - Fax:
Practice Address - Street 1:1303 S HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MO
Practice Address - Zip Code:64034-9337
Practice Address - Country:US
Practice Address - Phone:178-797-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst